Abstract
About one-third of patients with advanced renal cell carcinoma (RCC) have bone metastases. The incidence of RCC is increasing and bone metastatic RCC merits greater focus. Realistic preclinical bone metastasis models of RCC are lacking, hampering the development of effective therapies. We developed a realistic in vivo bone metastasis model of human RCC by implanting precision-cut tissue slices under the renal capsule of immunodeficient mice. The presence of disseminated cells in bone marrow of tissue slice graft (TSG)-bearing mice was screened by human-specific polymerase chain reaction and confirmed by immunohistology using human-specific antibody. Disseminated tumor cells in bone marrow of TSG-bearing mice derived from three of seven RCC patients were detected as early as 1 month after tissue implantation at a high frequency with close resemblance to parent tumors (e.g., CAIX expression and high vascularity). The metastatic patterns of TSGs correlated with disease progression in patients. In addition, TSGs retained capacity to metastasize to bone at high frequency after serial passaging and cryopreservation. Moreover, bone metastases in mice responded to Temsirolimus treatment. Intratibial injections of single cells generated from TSGs showed 100 % engraftment and produced X-ray-visible tumors as early as 3 weeks after cancer cell inoculation. Micro-computed tomography (μCT) and histological analysis revealed osteolytic characteristics of these lesions. Our results demonstrated that orthotopic RCC TSGs have potential to develop bone metastases that respond to standard therapy. This first reported primary RCC bone metastasis model provides a realistic setting to test therapeutics to prevent or treat bone metastases in RCC.
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Abbreviations
- CAIX:
-
Carbonic anhydrase IX
- CT:
-
Computed tomography
- FBS:
-
Fetal bovine serum
- HBS:
-
HEPES-buffered saline
- qRT-PCR:
-
Quantitative real-time PCR
- RCC:
-
Renal cell carcinoma
- TRAP:
-
Tartrate-resistant acid phosphatase
- TSG:
-
Tissue slice graft
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Acknowledgments
This work was supported by funds from the Department of Urology, Instrumentarium Science Foundation (MPV), Finnish Medical Foundation (MPV), Finnish Cultural Foundation (MPV) and South-Western Cancer Foundation of Finland (MPV), Association Française d’Urologie (AI), and the Ferdinand Eisenberger Grant of the German Society of Urology ID SaM1/FE-11 (MS). The funding institutions did not have any role in the design, collection, analysis, and interpretation of data, in the writing of the manuscript; or in the decision to submit the manuscript for publication. The personnel at Pharmatest Services Ltd. (Turku, Finland) are thanked for TRAP staining.
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The authors declare that they have no conflict of interests.
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Valta, M.P., Zhao, H., Ingels, A. et al. Development of a realistic in vivo bone metastasis model of human renal cell carcinoma. Clin Exp Metastasis 31, 573–584 (2014). https://doi.org/10.1007/s10585-014-9651-8
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DOI: https://doi.org/10.1007/s10585-014-9651-8